Wattanasen Yodkhwan, Komonchan Surasak
Department of Radiology, Neurological Institute of Thailand, Bangkok, Thailand.
Department of Neurology, Neurological Institute of Thailand, Bangkok, Thailand.
Asian J Neurosurg. 2024 Jun 7;19(2):342-346. doi: 10.1055/s-0044-1787534. eCollection 2024 Jun.
The standard of care for treating acute large vessel occlusion is endovascular therapy. The most frequent cause of occlusion is either embolic occlusion or in situ thrombotic occlusion. However, occlusion resulting from intracranial dissection is extremely rare, especially in the middle cerebral artery. Prior to a thrombectomy or endovascular therapy, understanding and interpreting the angiographic findings is crucial for planning the appropriate treatment and preventing complications.
治疗急性大血管闭塞的标准治疗方法是血管内治疗。闭塞最常见的原因是栓塞性闭塞或原位血栓形成性闭塞。然而,颅内夹层导致的闭塞极为罕见,尤其是在大脑中动脉。在进行血栓切除术或血管内治疗之前,理解和解读血管造影结果对于规划适当的治疗和预防并发症至关重要。